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目的探讨主动脉夹层动脉瘤误诊的原因和减少误诊的措施。方法收集福建省消防总队医院1999-06-2009-06收治的主动脉夹层动脉瘤患者38例,对最后确诊的38例误诊为其他疾病患者进行了回顾性研究。结果 38例患者临床表现多种多样,以疼痛症状发生最多见,误诊疾病多达8种,影像学检查可以确诊。结论主动脉夹层动脉瘤临床表现复杂,不具备特异性,早期诊断率低,易延误治疗;应全面细致询问病史、查体、结合影像学检查是使主动脉夹层动脉瘤患者得到早期正确治疗和提高诊断率的关键。
Objective To investigate the causes of misdiagnosis of aortic dissection aneurysms and to reduce the misdiagnosis measures. Methods Thirty-eight patients with aortic dissecting aneurysm were collected from the Firefighting Corps Hospital of Fujian Province during 1999-06-2009-06. 38 patients who were misdiagnosed as other diseases were retrospectively studied. Results 38 cases of patients with various clinical manifestations, the most common occurrence of pain symptoms, misdiagnosis of up to 8 kinds of diseases, imaging diagnosis can be confirmed. Conclusion The clinical manifestations of aortic dissection aneurysm complicated, do not have specificity, early diagnosis rate is low, easy to delay treatment; should be comprehensive and meticulous history, examination, combined with imaging examination is to make aortic dissection aneurysm patients get early correct treatment and The key to improve the diagnostic rate.